DBA-PINE EAGLE CLINIC – NPI #1922102128
Clinic/Center
DBA-PINE EAGLE CLINIC is an AHC clinic located in HALFWAY, OR. NPPES has assigned the NPI number 1922102128 to DBA-PINE EAGLE CLINIC on September 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA-PINE EAGLE CLINIC” is a dba name, the actual legal business name for this organization is PINE EAGLE HEALTH PLANNING COMMITTEE. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health
The NPI profile was previously updated about 6 years ago on Jun 17, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DBA-PINE EAGLE CLINIC below.
NPI Profile for
PINE EAGLE HEALTH PLANNING COMMITTEE
(about 20 years ago)
HALFWAY, OR 97834 Phone: (541) 742-5023 Fax: (541) 742-7210
HALFWAY, OR 97834 Phone: (541) 742-5023 Fax: (541) 742-7210
ADMINISTRATOR
Phone: (541) 742-5024
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for DBA-PINE EAGLE CLINIC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS BLUE SHIELD | OR | 009919000 |
| OTHER | MEDICARE B | OR | R139059 |
| MEDICAID | OR | 025069 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QR1300X - Clinic/Center / Rural Health (Primary) |
OR | 383869 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.